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随着外科手术技术的不断发展,腹腔镜技术日益成熟,吻合技术持续改进,低位直肠癌手术的安全性和保肛率稳步提升。然而,从外科学和肿瘤学角度看,吻合口漏(anastomotic leakage, AL)仍然是令人担忧且极具破坏性的并发症之一,发生率为3%~24%,相关病死率可达6%~26%。该并发症的发生会提高非计划二次手术率,增加患者的治疗成本,延长住院时间,还可能使患者错过术后化疗的最佳时机,进一步增大术后肿瘤复发的风险。这不仅会影响直肠癌患者的生活质量,还可能导致较差的生存预后。如何有效降低AL等不良事件的发生率,减轻其发生后造成的临床危害,是结直肠外科领域亟待解决的重难点问题。本文深度剖析模式化结肠脾曲游离、保留左结肠动脉、吻合口加固缝合和经肛管引流技术无预防性造口等多技术整合的应用现状与临床价值,旨在为中低位直肠癌手术方案优化提供创新指引与理论支撑。
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基本信息:
DOI:10.3785/syzlzz.2026.041
引用信息:
[1]吕倩婷,刘萍,王贵伟,等.中低位直肠癌手术中降低吻合口漏发生率的研究进展:多技术整合策略探讨[J],2026,41(4):297-301.DOI:10.3785/syzlzz.2026.041.